Job description
About Steward Health Care
Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.
For more information, visit www.steward.org.
This position is responsible for resolution of outstanding unbilled claims across a variety of insurances. The Revenue Cycle Associate reports to the central business office Manager.
Key Responsibilities
- Meets goal and objectives in assigned area
- Complies daily with departmental policies and procedures
- Performs claims billing to resolve edits in the system scrubber and system EMR host system
- Ensures all claims are billed in a compliant manner
- Collaborates with hospital departments to resolve claim edits
- Resolves claim rejections in a timely manner
- When necessary, makes outbound calls to patients to resolve claim rejections for eligibility errors
- Rebill claims when requested for a variety of updates that may have been previously denied
- Bill all payer sequences of primary, secondary, and/or tertiary
- Detail all actions taken on edits with clear and concise notes
- Monitor and identify edit trends on claim edits and escalate to Manager as needed
- Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations
Required Knowledge & Skills
- Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus;
- Understands payer guidelines related to effective claim resolution;
- Knowledgeable and proficient with payer websites and other useful resources;
- Knowledge of claims scrubber editing
- Knowledge of revenue cycle and/or business office procedures;
- Highly detail oriented and organized;
- Ability to read, understand, and follow oral and written instructions; and
- Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.
Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.
Location: Corporate · 1301.42071 CVBO
Schedule: Full Time, Day Shift, 8-430
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